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Suggest Treatment For Trigeminal Neuralgia
Myself, Sunita Chauhan, 45, diagnosed to have trigeminal neuralgia for the last 8 months. The pain is stabbing and excruciating. Plz advise on treatment and prognosis. My height is 5'5" and weight 76 kg. i had two cesarean sections and diagnosed to have hypothyroidism 6 months back.
Mon, 6 Oct 2014
Start with tab carbamazepine 200 mg twice daily
Increase dose weekly till 1200 mg per day. Higher doses may cause sedation, again more common in Indians.
If pain still persists ten add
Tab gabapentin 300 mg twice daily
Tab Amitriptyline 25 mg once daily
In some patients pain persists despite all medications then ganglion block should be done.
Hope my answer is helpful to you. Take care.
Increase dose weekly till 1200 mg per day. Higher doses may cause sedation, again more common in Indians.
If pain still persists ten add
Tab gabapentin 300 mg twice daily
Tab Amitriptyline 25 mg once daily
In some patients pain persists despite all medications then ganglion block should be done.
Hope my answer is helpful to you. Take care.
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